24. Respiratory DiseasesGoal: Promote respiratory health through better prevention, detection, treatment, and education efforts.
Asthma
NO CHANGE IN OBJECTIVE
(Data updated and footnoted)
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24-1.
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Reduce asthma deaths.
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Target and baseline:
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Objective
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Age Group |
19991 Baseline
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2010 Target
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Rate per Million
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24-1a.
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Children under age 5 years
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1.72
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0.93
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24-1b.
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Children aged 5 to 14 years
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3.14
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0.95
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24-1c.
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Adolescents and adults aged 15 to 34 years
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5.66
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1.97
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24-1d.
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Adults aged 35 to 64 years
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15.58
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8.09
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24-1e.
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Adults aged 65 years and older
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69.510
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47.011
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Target setting method: Better than the best.
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Data
source
: National Vital Statistics System–Mortality (NVSS–M),12 CDC, NCHS.
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1 (Baseline year revised from 1998 after November 2000 publication)
2 (Baseline revised from 2.1 after November 2000 publication)
3 (Target revised from 1.0 because of baseline revision after November 2000 publication)
4 (Baseline revised from 3.3 after November 2000 publication)
5 (Target revised from 1.0 because of baseline revision after November 2000 publication)
6 (Baseline revised from 5.0 after November 2000 publication)
7 (Target revised from 2.0 because of baseline revision after November 2000 publication)
8 (Baseline revised from 17.8 after November 2000 publication)
9 (Target revised from 9.0 because of baseline revision after November 2000 publication)
10 (Baseline revised from 86.3 after November 2000 publication)
11 (Target revised from 60.0 because of baseline revision after November 2000 publication)
12 (Name of data source changed from National Vital Statistics System [NVSS] after November 2000 publication)
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NO CHANGE IN OBJECTIVE
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24-2.
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Reduce hospitalizations for asthma.
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Target and baseline:
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Objective
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Age Group |
1998 Baseline
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2010 Target
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Rate per 10,000
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24-2a.
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Children under age 5 years
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45.6
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25
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24-2b.
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Children and adults aged 5 to 64 years*
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12.5
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7.7
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24-2c.
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Adults aged 65 years and older*
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17.7
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11
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* Age adjusted to the year 2000 standard population.
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Target setting method: Better than the best.
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Data
source
: National Hospital Discharge Survey (NHDS), CDC, NCHS.
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NO CHANGE IN OBJECTIVE
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24-3.
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Reduce hospital emergency department visits for asthma.
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Target and baseline:
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Objective
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Age Group |
1995—97 Baseline
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2010 Target
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Rate per 10,000
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24-3a.
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Children under age 5 years
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150.0
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80.0
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24-3b.
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Children and adults aged 5 to 64 years
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71.1
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50.0
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24-3c.
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Adults aged 65 years and older
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29.5
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15.0
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Target setting method: Better than the best.
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Data
source
: National Hospital Ambulatory Medical Care Survey (NHAMCS), CDC, NCHS.
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NO CHANGE IN OBJECTIVE
(Data updated and footnoted)
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24-4.
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Reduce activity limitations among persons with asthma.
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Target: 61 percent.
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Baseline: 102 percent of persons with asthma experienced activity limitations in activity in 19972 (age adjusted to the year 2000 standard population).
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Target setting method: Better than the best.
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Data
source
: National Health Interview Survey (NHIS), CDC, NCHS.
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1 (Target revised from 10 because of baseline revision after November 2000 publication)
2 (Baseline and baseline year revised from 20 and 1994–96 after November 2000 publication)
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ORIGINAL OBJECTIVE
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24-5.
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(Developmental) Reduce the number of school or work days missed by persons with asthma due to asthma.
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Potential data source: National Health Interview Survey (NHIS), CDC, NCHS.
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OBJECTIVE WITH REVISIONS
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24-5.
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(Developmental) Reduce the number of school or work days missed by persons with asthma due to asthma.
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Target: 2.0 days.
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Baseline: The number of school or work days missed by persons aged 5 to 64 years with asthma due to asthma was 6.1 days in 2002.
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Target setting method: Better than the best.
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Potential dData
source
: National Health Interview Survey (NHIS), CDC, NCHS.
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REVISED OBJECTIVE
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24-5.
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Reduce the number of school or work days missed by persons with asthma due to asthma.
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Target: 2.0 days.
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Baseline: The number of school or work days missed by persons aged 5 to 64 years with asthma due to asthma was 6.1 days in 2002.
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Target setting method: Better than the best.
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Data
source
: National Health Interview Survey (NHIS), CDC, NCHS.
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NO CHANGE IN OBJECTIVE
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24-6.
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Increase the proportion of persons with asthma who
receive formal patient education, including information about community and self-help resources, as an essential part of the management of their condition.
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Target: 30.0 percent.
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Baseline: 8.4 percent of persons aged 12 to 49 years with asthma received formal patient education in 1998 (age adjusted to the year 2000 standard population).
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Target setting method: Better than the best.
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Data
source
: National Health Interview Survey (NHIS), CDC, NCHS.
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ORIGINAL OBJECTIVE
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24-7.
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(Developmental) Increase the proportion of persons with asthma who receive appropriate asthma care according
to the NAEPP Guidelines.
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24-7a. Persons with asthma who receive written asthma management plans from their health care provider.
24-7b. Persons with asthma with prescribed inhalers who receive instruction on how to use them properly.
24-7c. Persons with asthma who receive education about recognizing early signs and symptoms of asthma episodes and how to respond appropriately, including instruction on peak flow monitoring for those who use daily therapy.
24-7d. Persons with asthma who receive medication regimens that prevent the need for more than one canister of short-acting inhaled beta agonists per month for relief of symptoms.
24-7e. Persons with asthma who receive followup medical care for long-term management of asthma after any hospitalization due to asthma.
24-7f. Persons with asthma who receive assistance with assessing and reducing exposure to environmental risk factors in their home, school, and work environments.
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Potential data source: National Health Interview Survey (NHIS), CDC, NCHS.
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OBJECTIVE WITH REVISIONS
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24-7.
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(Developmental) Increase the proportion of persons with asthma who receive appropriate asthma care according to the NAEPP Guidelines.
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Target and baseline:
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Objective
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Persons With Asthma Who Receive Appropriate Care
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2002
Baseline
(unless noted)
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2010 Target
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Percent
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24-7a.
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Written asthma management plans from their health care provider
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32
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38
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24-7b.
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With prescribed inhalers who receive instruction on how to use them properly
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96.0 (2003)
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98.8
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24-7c.
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Education about recognizing early signs and symptoms of asthma episodes and how to respond appropriately,
including instruction on peak flow monitoring for those who use daily therapy
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68 (2003)
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71
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24-7d.
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Medication regimens that prevent the need for more than one canister of short-acting,
inhaled, beta agonists per month for relief of symptoms
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80 (2003)
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92
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24-7e.
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Followup medical care for long-term management of asthma after any hospitalization due to asthma
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76 (2003)
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87
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24-7f.
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Assistance with assessing and reducing exposure to environmental risk factors in their home, school,
and work environments
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42
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50
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Target setting method: Better than the best.
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Potential dData
source
: National Health Interview Survey (NHIS), CDC, NCHS.
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REVISED OBJECTIVE
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24-7.
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Increase the proportion of persons with asthma who receive appropriate asthma care according to the NAEPP Guidelines.
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Target and baseline:
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Objective
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Persons With Asthma Who Receive Appropriate Care |
2002 Baseline
(unless noted)
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2010 Target
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Percent
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24-7a.
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Written asthma management plans from their health care provider
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32
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38
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24-7b.
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With prescribed inhalers who receive instruction on how to use them properly
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96.0 (2003)
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98.8
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24-7c.
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Education about recognizing early signs and symptoms of asthma episodes and how to respond appropriately,
including instruction on peak flow monitoring for those who use daily therapy
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68 (2003)
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71
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24-7d.
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Medication regimens that prevent the need for more than one canister of short-acting,
inhaled, beta agonists per month for relief of symptoms
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80 (2003)
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92
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24-7e.
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Followup medical care for long-term management of asthma after any hospitalization due to asthma
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76 (2003)
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87
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24-7f.
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Assistance with assessing and reducing exposure to environmental risk factors in their home, school,
and work environments
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42
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50
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Target setting method: Better than the best.
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Data
source
: National Health Interview Survey (NHIS), CDC, NCHS.
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ORIGINAL OBJECTIVE
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24-8.
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(Developmental) Establish in at least 25 States a surveillance system for tracking asthma death, illness, disability, impact of occupational and environmental factors on asthma, access to medical care, and asthma management.
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Potential data sources: Periodic surveys, Council of State and Territorial Epidemiologists and Public Health Foundation; Association of Schools of Public Health.
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OBJECTIVE WITH REVISIONS
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24-8.
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Increase the number of (Developmental) Establish in at least 25 States with an asthma surveillance system for tracking asthma deathcases, illness, and disability, impact of occupational and environmental factors on asthma, access to medical care, and asthma management.
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Target: 25 States.
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Baseline: 19 States had a surveillance system for tracking asthma cases, illness, and disability in 2003.
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Target setting method: 32 percent improvement.
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Potential dData
source
s: Periodic surveys, Council of State and Territorial Epidemiologists and Public Health Foundation; Association of Schools of Public HealthBehavioral Risk Factor Surveillance System (BRFSS), CDC.
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REVISED OBJECTIVE
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24-8.
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Increase the number of States with an asthma surveillance system for tracking asthma cases, illness, and disability.
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Target: 25 States.
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Baseline: 19 States had a surveillance system for tracking asthma cases, illness, and disability in 2003.
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Target setting method: 32 percent improvement.
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Data
source
: Behavioral Risk Factor Surveillance System (BRFSS), CDC.
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Chronic Obstructive Pulmonary Disease (COPD)
NO CHANGE IN OBJECTIVE
(Data updated and footnoted)
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24-9.
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Reduce the proportion of adults whose activity is limited due to chronic lung and breathing problems.
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Target: 1.91 percent.
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Baseline: 2.52 percent of adults aged 45 years and older experienced activity limitations due to chronic lung and breathing problems in 1997 (age adjusted to the year 2000 standard population).
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Target setting method: Better than the best.
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Data
source
: National Health Interview Survey (NHIS), CDC, NCHS.
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1 (Target revised from 1.5 because of baseline revision after November 2000 publication)
2 (Baseline revised from 2.2 after November 2000 publication)
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NO CHANGE IN OBJECTIVE
(Data updated and footnoted)
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24-10.
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Reduce deaths from chronic obstructive pulmonary disease (COPD) among adults.
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Target: 62.31 deaths per 100,000 adults.
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Baseline: 123.92 deaths from COPD (excluding asthma) per 100,000 persons aged 45 years and older occurred in 19992 (age adjusted to the year 2000 standard population).
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Target setting method: 50 percent improvement.
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Data
source
: National Vital Statistics System (NVSS), CDC, NCHS.
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1 (Target revised from 60 because of baseline revision after November 2000 publication)
2 (Baseline and baseline year revised from 119.4 and 1998 after November 2000 publication)
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Obstructive Sleep Apnea (OSA)
NO CHANGE IN OBJECTIVE
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24-11a. Persons with excessive daytime sleepiness, loud snoring, and other signs associated with obstructive sleep apnea who seek medical evaluation.
24-11b. Persons with excessive daytime sleepiness, loud snoring, and other signs associated with obstructive sleep apnea who receive followup medical care for long-term management of their condition.
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Potential data source: National Health and Nutrition Examination Survey (NHANES), CDC, NCHS.
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OBJECTIVE PROPOSED FOR DELETION
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24-12.
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(Objective proposed for deletion due to lack of data source) (Developmental) Reduce the proportion of vehicular crashes caused by persons with excessive sleepiness.
Read information regarding the deletion of an objective due to lack of data source.
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